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lifestyle · for gout

Adequate Daily Hydration

Reviewed by the Nimbera editorial team · Last updated May 2026

Supported by established nephrology and rheumatology consensus: higher fluid intake dilutes serum urate and promotes renal excretion. Gout clinical guidelines (ACR, EULAR) consistently recommend 2-3 litres of water daily as part of flare prevention. Williams 2008 prospective cohort (Am J Clin Nutr, PMID 18469274) supports dietary and lifestyle measures in gout risk reduction.Effectively free.

How to use

Aim for at least 2-3 litres (8-12 cups) of plain water per day. Distribute intake throughout the day. Increase intake during hot weather, exercise, or active flares. Limit sugary drinks, fruit juice, and alcohol, which can raise uric acid.

How it works

Higher fluid intake raises urine volume, which dilutes urinary urate and reduces the concentration gradient favouring crystal deposition. Adequate hydration also supports glomerular filtration and tubular excretion of urate by the kidneys.

Where to buy

No purchase needed. A reusable water bottle makes it easier to track daily intake.

Typical cost: Effectively free.

Safety notes

People with heart failure, chronic kidney disease, or conditions requiring fluid restriction should consult their doctor before significantly increasing water intake. Water alone does not correct severe hyperuricemia and should complement, not replace, medical treatment.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.